National Provider Identifier [NPI]: |
1720013055 |
Last Name Of The Provider |
BERMAN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605 SIERRA ROSE DR |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895112060 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
15178 |
Number Of Medicare Beneficiaries |
936 |
Total Submitted Charge Amount |
2142545.61 |
Total Medicare Allowed Amount |
757125.18 |
Total Medicare Payment Amount |
540908.98 |
Total Medicare Standardized Payment Amount |
543988.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
8478 |
Number Of Medicare Beneficiaries With Drug Services |
341 |
Total Drug Submitted ChargeAmount |
100345.32 |
Total Drug Medicare AllowedAmount |
45892.69 |
Total Drug Medicare PaymentAmount |
28733.42 |
Total Drug Medicare Standardized Payment Amount |
28733.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
6700 |
Number Of Medicare Beneficiaries With Medical Services |
936 |
Total Medical Submitted Charge Amount |
2042200.29 |
Total Medical Medicare Allowed Amount |
711232.49 |
Total Medical Medicare Payment Amount |
512175.56 |
Total Medical Medicare Standardized Payment Amount |
515255.39 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
417 |
Number Of Beneficiaries Age 65 to 74 |
337 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
844 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3546 |